Craniofacial Center Dental Services

Cleft lip/palate and other craniofacial anomalies usually affect a child’s dental development. Teeth in the area of the cleft may be missing or improperly positioned. There may also be extra teeth or malformed teeth. In addition, affected teeth may be more susceptible to tooth decay. For these reasons, care of the teeth should begin as soon as the teeth emerge. Preventive practices with regular visits to the pediatric dentist will help to ensure the best dental outlook for your child.

Pediatric Orthodontists

The pediatric orthodontist is a dentist who is specially trained to straighten and align your child's teeth. Children with craniofacial anomalies usually need to have their teeth straightened as they get older. The orthodontist works closely with the plastic surgeon regarding the use of a presurgical orthopedic device to bring cleft maxillary segments closer together. Sometimes the overall goal requires repositioning of these segments prior to plastic surgery. The orthodontist is also an archivist and record keeper related to your child’s growth and development.


Derek A Sanders, DMD

Primary Office: Miami

Clinical Interests: Orthodontics



Idalia Lastra, DMD

Primary Office: Miami

Additional Office: Key Biscayne

Clinical Interests: Orthodontics


Melissa A Sedeno, DMD

Primary Office: Miami Lakes

Additional Office: Miami


 A clinician identified with a Nicklaus Children’s Pediatric Specialists logo is an affiliate of Nicklaus Children's Health System. All other clinicians listed on the website are in independent medical practices.